GoodStanding

Nursing home report

WINDSOR MISSION OAKS

SAN ANTONIO, TX · Medicare-certified · 150 beds

Needs attention
Non-profitChain member
2 of 5 overall

WINDSOR MISSION OAKS has a 2-star overall rating, with weak staffing (2 stars) and quality measures (1 star); reported nurse staffing is 2.70 hours per resident per day, below the 4.1 federal benchmark. It also had $10,842 in fines in the last 24 months and a recent federal penalty, while the health inspection rating was 3 stars.

Facility ratings

Health inspections

Staffing

2.7032 hrs/resident/day

Quality measures

Last inspection: June 27, 2025Penalties, last 24 months: $10,842recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.7032.

Staffing detail

Registered nurses
0.29
Licensed practical nurses
0.83
Nurse aides
1.58
Weekend nursing
2.14

Hours per resident per day.

Total staff turnover: 24%
Registered nurse turnover: 0%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Residents with a fall causing major injury

3.9%2.4%Improving

Residents with pressure ulcers (bedsores)

0.9%1.7%Worsening

Residents with a urinary tract infection

0.8%1.6%Worsening

Residents who lost too much weight

2.6%4.5%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

14%11.7%Improving

Residents whose ability to walk got worse

9.7%8%Improving

Long-stay residents on antianxiety or sleep medication

40.2%39.3%Improving

Residents with a long-term catheter

0.9%0%Improving

Residents with new or worsening incontinence

25.5%10.8%Improving

Residents with depressive symptoms

2.7%0%Improving

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

99.2%

Long-stay residents given the pneumonia vaccine

100%99.2%Worsening

Short-stay residents given the pneumonia vaccine

62.2%

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited June 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 690 — 42 CFR §483.25(e) — S/S: E

The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited June 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 726 — 42 CFR §483.35 — S/S: E

The home failed to properly label and securely store medications and biologicals. Cited June 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 761 — 42 CFR §483.45(g) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 10 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  4. PENALTY

    A federal fine of $10,842 was recorded.

  5. INSPECTION

    Health inspection found 13 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $10,842 in total fines.

  • Federal fine

    May 8, 2024

    $10,842

Operator & ownership

Ownership
Non profit - Other
Chain
Part of WELLSENTIAL HEALTH · 68 homes · 2.6 stars avg
Occupancy
123.7 residents on an average day (82% of 150 beds)
Resident voice
Resident council
Medicare history
Certified for 31 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.